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July 8, 2025 Huda Kayad, Authorized Agent United Health Care Services LLC 1821 University Avenue West Suite 496 Saint Paul, Minnesota 55104 License Number: 1108707 (245D – Home and Community-Based Services) CORRECTION ORDER Dear Huda Kayad: On June 3, 2025, a licensing review of United Health Care Services LLC, located at 1821 University Avenue West, Saint Paul, Minnesota, was conducted to determine compliance with state and federal laws and rules governing the provision of home and community-based services to persons with disabilities and age 65 and older under Minnesota Statutes, Chapter 245D. As a result of this licensing review a Correction Order is being issued. A. Reason for Correction Order Pursuant to Minnesota Statutes, section 245A.06, if the Commissioner of the Department of Human Services (DHS) finds that the license holder has failed to comply with an applicable law or rule and this failure does not imminently endanger the health, safety, or rights of the persons served by the program, the Commissioner may issue a Correction Order to the license holder. The following violation(s) of state or federal laws and rules were determined as a result of the licensing review. Corrective action for each violation is required by Minnesota Statutes, section 245A.06 and is hereby ordered by the Commissioner of Human Services. 1. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (b). Violation: For one of four person whose record was reviewed (P1), the license holder did not develop an individual abuse prevention plan as required. The license holder assessed P1 to be vulnerable to self-abuse in P1’s individual abuse prevention plan. The license holder failed to identify specific measures to be taken to minimize the risk of abuse for P1. Corrective Action Ordered: Within 30 days of receipt of this order, you must review and revise P1’s individual abuse prevention plan to include specific measures to be taken to minimize the risk of abuse for P1. Additionally, you must provide orientation on the updates to P1’s individual abuse prevention plan to all staff that provide direct support to P1. On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Statutes, section 245D.05, subdivision 1, paragraph (b), clause (1).
Violation: For one person whose record was reviewed (P2), the license holder did not document health services as required.
P2’s support plan addendum dated April 2,2025, documented that the license holder was required to provide medication assistance to P2. The license holder failed to maintain documentation in P2’s support plan addendum that included a description of the procedures the license holder would follow in order to provide medication assistance to P2. Corrective Action Ordered: Immediately, you must document the procedures you will follow to provide P2 with medication assistance and review with P2’s support team. Additionally, you must provide orientation on the updates to P2’s support plan addendum to all staff that provide direct support to P2. On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statutes, section 245D.061, subdivision 9. Violation: The license holder did not develop, document and implement a policy and procedure for the emergency use of manual restraints as required. The license holder developed two policies for the emergency use of manual restraints: one that did allow of the emergency use of manual restraints and one that did not allow for the use of manual restraints. Although the license holder developed two policies and procedures for the emergency use of manual restraints, the policies and procedures were contradictory and unable to be implemented. Corrective Action Ordered: Immediately, you must revise your emergency use of manual restraint policy to state whether you allow or no not allow the emergency use of manual restraints in your program. Additionally, you must ensure all services recipients receive a copy of this policy according to the requirements in Minnesota Rules 9544.0080, subpart 1, and all staff are trained on this policy according to the requirements in Minnesota Statutes, section 245D.09. On an ongoing basis, you must maintain compliance as required with this subdivision. 4. Citation: Minnesota Statutes, section 245D.07 subdivision 1 Violation: For one person whose record was reviewed (P2), the license holder did not provide services according to the federal waiver plan as required. The Community-Based Services Manual (CBSM) states that relatives cannot be paid to provide individualized home supports with family training services. The license holder provided individualized home supports with family training services to P2 and P2's parent provided this service to P2. The license holder failed to provide services according to the requirements of the federal waiver plan when the license holder provided a service to P2 that was not allowed to be provided by a relative and P2's mother provided the service. Corrective Action Ordered: At the time of the reviewed, the license holder was no longer having the relative act as P2’s staff. On and ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245D.071, subdivision 4. Violation: For one person whose record was reviewed (P1), the license holder did not develop service outcomes and supports as required. The license holder failed to develop and document the supports and methods to be implemented to support P2 including the measurable and observable criteria for identifying when the desired outcome has been achieved. Corrective Action Ordered: Within 30 days of receipt of this order, you must document in P2’s support plan addendum the measurable and observable criteria for identifying when P2’s desired outcome has been achieved. Additionally, you must provide orientation on the updates to P2’s support plan addendum to all staff that provide direct support to P2. On an ongoing basis, you must maintain compliance as required in this subdivision. 6. Citation: Minnesota Statutes, section 245D.071, subdivision 5. Violation: For one person whose record was reviewed (P3), the license holder did not review and evaluate the service plan as required. The license holder failed to summarize P3’s status and progress toward achieving identified outcomes, make recommendations, and identify the rationale for changing, continuing, or discontinuing implementation of identified supports and methods in a report made available at the time of P3’s meeting in Month, 2025. Corrective Action Ordered: Within 30 days of receipt of this order, you must complete a progress report for P3 that includes the information listed above and provide the report to P3’s support team. On an ongoing basis, you must maintain compliance as required in this subdivision. 7. Citation: Minnesota Statutes, section 245D.095, subdivision 3. Violation: For one person whose record was reviewed (P2), the license holder did not maintain service recipient records as required. The license holder failed to maintain progress or daily log notes that were recorded by the program for P2.
Corrective Action Ordered: Immediately, you must begin maintaining progress or daily log notes for all service recipients. On an ongoing basis, you must maintain compliance as required in this subdivision. If you fail to correct the violations specified in the Correction Order within the prescribed time lines the Commissioner may issue an Order of Conditional License or may impose a fine and order other licensing sanctions pursuant to Minnesota Statutes, sections 245A.06 and 245A.07. B. Right to Request Reconsideration If you believe any of the citations are in error, you have the right to request that the Commissioner of Human Services reconsider the parts of the Correction Order that you believe to be in error. The request for reconsideration must be in writing and received by the Commissioner within 20 calendar days after receipt of this report. Your request for reconsideration must be sent to: Commissioner, Department of Human Services ATTN: Legal Unit Licensing Division PO Box 64953 St. Paul, MN 55164-0242 Please note that a request for reconsideration does not stay any provisions or requirements of the Correction Order. The Commissioner’s disposition of a request for reconsideration is final and not subject to appeal under Minnesota Statutes, chapter 14. If you have any questions regarding this Correction Order, please contact me as soon as possible. Diana Arnzen, HCBS Licensor Licensing Division Office of Inspector General 651-431-6638
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